# WHBOUTIQUE INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Women's Health Boutique
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396078507
- **Authorized official:** VICKI D JONES (OWNER)
- **Authorized official phone:** (214) 373-1045

## Contact information

- **Practice address:** 8499 GREENVILLE AVE STE 105, DALLAS, TX 75231-2417
- **Practice address phone:** (214) 373-1045
- **Practice address fax:** (214) 221-9282
- **Mailing address:** 605 N 6TH ST, LONGVIEW, TX 75601-6606
- **Mailing address phone:** (903) 758-9904
- **Mailing address fax:** (903) 236-9786

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1000223 | TX | Yes |

## Other

- **Enumeration date:** 09/08/2009
- **Last updated:** 03/23/2020